DR. THOMAS GROSS M.D. NPI 1912083601

NPI Information

NPI: 1912083601
Provider Name: DR. THOMAS GROSS, M.D.
Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Individual

Specialization: Maternal & Fetal Medicine

Address:
4911 N EXECUTIVE DR
PEORIA, IL
ZIP 61614
Phone: (309) 683-6700
Get Directions

DR. Thomas Gross, M.D. is a maternal and fetal medicine obstetrics gynecology in Peoria, IL. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. DR. Thomas Gross, M.D. NPI is 1912083601. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4911 N EXECUTIVE DR
PEORIA, IL
ZIP 61614-896
Phone: (309) 683-6700
Fax: (309) 683-6722

The enumeration date for this NPI number is 10/27/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VM0101X	Obstetrics & Gynecology	Maternal & Fetal Medicine		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	L63687	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
2	C02625	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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